Registration for Novalis Bench Card System Access

Please complete the following form and submit. We will review your application and get back to you within one business day.

Company Name:	Federal Tax ID:
Contact First Name:	Contact Last Name:
Street Address:	City:
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Country: UNITED STATES CANADA
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Website:
Business Summary:
Where do you purchase Novalis Plants:
Armstrong Growers Carolina Nurseries Conrad Pile Company, The Fisher Farms Greenleaf Nursery	Hackney Nursery Imperial Nurseries Willoway Nurseries Windmill Nursery of Louisiana We don't yet, but are interested in getting started
You will use the following email and password to log into the site when your registration is approved.
Email Address Login	Password Confirm your password by typing it again: